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arussell

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About arussell

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Representative Information

  • Name
    Ailene Russell
  • Doctor Representative For
    Dr. Jerry Cooley
  • Location
    United States
  • Years in Hair Transplant Profession
    > 10 Years
  • Email Address
    arussell@haircenter.com

About the Representative

  • Have you Ever Had a Hair Transplant?
    No

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  1. FUE has advanced, but so has FUT/FUSS. FUE is the evolution of the old plug transplants, it is not THE advanced technique. It is not always better but can be in some situations, the same is true for strip. It takes a skilled surgeon and team for EITHER procedure. It takes research and disclosure from clinics to potential patients to educate them of the benefits vs the downfall of EITHER. I have been a part of this community and have witnessed the evolution first hand. Facts are facts..... both create scars..... neither cure balding..... both can effectively move hair and in skills hands provide a natural restoration. Neither are perfect. Simrangoyal, I am Clinical Supervisor for Dr. Jerry Cooley. I have also had the honor to be the past chair and the Forum (ISHRS publication former editor for the Assistants Corner). I have been a part of this forum since it's beginning. I am fairly knowledgeable having been in this field for 20 years, about either. Dr. Cooley does not use old techniques. We do both procedures as do many other surgeons; using the latest technology available. Sometimes what is promoted as the latest greatest but in reality is the opposite. Research is key to finding the truth.......
  2. FUE is best for some situations, not all. All of this has been gone over again and again. Both have advantages and disadvantages. FUE does not give perfect more natural results. That is the skill of the surgeon and the clinic. Both can give great results if the patient makes a decision based on fact not on what someone is telling him. Neither are painless that will depend on the individual patient. Nothing is perfect!
  3. "I think the reason is, it gives better results than FUT technique on average. I am not saying it is better because better is a relative term. When we compare all the results of both techniques, FUE seems to be more natural, denser overall. But there are many surgeons who are very successful with FUT type surgeries. But when compared, I believe FUE gives the surgeon more freedom to fill the bald areas. The doctor can pick each follicle according to a schema and the rest is talent. Moreover, I don't know why but usually, when the hair grows, after a certain length, it looks unnatural if it was a FUT. Ordinary people can't see it but if you keep seeing hair, you can tell the difference. I have heard that even the most experienced doctors who have been conducting FUT for decades are now learning FUE technique. I believe the shift will be towards FUE more and more each passing year. Here is my article about FUE and why doctors are switching to it more and more each day, I believe I touched very important points. I do not believe better results are given with FUE and certainly not more density on average. As for hair not looking natural with FUT, if the team is highly skilled then this does not occur. In fact, in our clinic, all FUE grafts are placed under a microscope to ensure they are true 1,2.3 etc and to trim any debris. It is placing that can damage hair and make it look less natural. Incisions have to be carefully made by the surgeon according to the size of the follicle and then placed by skilled placers to avoid crushing or hooking in placement. Both FUE and FUT will give natural results using good technique. As I pointed out above choose carefully what is in your best interest. " Bill the above words are the quote that I was disputing with the last paragraph. I disagree with this statement totally. I do not think results are superior with FUE as I said. Both have advantages and disadvantages. I hate for one to be promoted as the end all of end alls. The fear of the linear scar is from OLD scars or clinics that have not used the newer better methods of closure. BOTH leave scars and the biggest issues I am afraid we will face in the future from FUE is over harvesting, diffuse thinning and just by nature of diffuse thinning fewer available donor grafts to transplant. I have seen quite a few young patients who have done large FUE left with bad moth eaten looks in their donor and not a lot of great options for repair...... Results are pretty similar with the same graft count. But we still dissect under a scope even the FUE so they would all look natural......
  4. I think the reason is, it gives better results than FUT technique on average. I am not saying it is better because better is a relative term. When we compare all the results of both techniques, FUE seems to be more natural, denser overall. But there are many surgeons who are very successful with FUT type surgeries. But when compared, I believe FUE gives the surgeon more freedom to fill the bald areas. The doctor can pick each follicle according to a schema and the rest is talent. Moreover, I don't know why but usually, when the hair grows, after a certain length, it looks unnatural if it was a FUT. Ordinary people can't see it but if you keep seeing hair, you can tell the difference. I have heard that even the most experienced doctors who have been conducting FUT for decades are now learning FUE technique. I believe the shift will be towards FUE more and more each passing year. Here is my article about FUE and why doctors are switching to it more and more each day, I believe I touched very important points. I do not believe better results are given with FUE and certainly not more density on average. As for hair not looking natural with FUT, if the team is highly skilled then this does not occur. In fact, in our clinic, all FUE grafts are placed under a microscope to ensure they are true 1,2.3 etc and to trim any debris. It is placing that can damage hair and make it look less natural. Incisions have to be carefully made by the surgeon according to the size of the follicle and then placed by skilled placers to avoid crushing or hooking in placement. Both FUE and FUT will give natural results using good technique. As I pointed out above choose carefully what is in your best interest.
  5. I am going to repeat what Bill said, "both have advantages and disadvantages". FUE is not "newer", it is refined plugs. Keyword, "REFINED". All things evolve as time elapses and techniques are developed. Old plug scars are not any prettier than old FUT scars. Hair transplants evolved. At first, the focus was to move hair; lots of hair. FUE scars were 6mm sometimes more. But it worked! Linear scars and sometimes stacks of them made the donor not a pretty place..... The focus changed and docs wanted refined scars and if good technique is used this is generally what I see now. FUE is not scarless.... it is just small round scars vs a linear one. The big question with FUE scars seems that the only thing you can do to disguise is micro pigmentation, but for a linear scar you can go in with FUE and very nicely make it almost disappear. With a good doc and clinic either give good results. There are many things that make one better than the other for a specific patient. If a patient is young, not on meds and headed to a NW 5 /6 and above, FUE may not be a good choice. If the skin is very light and the hair very dark FUE scars can make the area motheaten in appearance because of the contrast. If someone wears a short look and goes the gym daily and has less than a NW 4 then FUE might be a better choice. Someone above said everyone has the same amount of follicles available, that is true but not all can always be harvested with good results. You can harvest more with FUT at one time in a first session. Dr. Cooley likes to do combination plans in a lot of patients but education on what each can provide is the real secret. below is a patient who did FUE with another clinic. You can clearly see the motheaten appearance and lack of density in the donor. He needed another session to achieve the density he wanted. At the very bottom of the donor is our FUT scar, almost indiscernible.
  6. We do many things different than the vast majority. Grafts are finely trimmed with no excess tissue at the top, Dr. Cooley controls the depth of all incisions so that the grafts are not buried too deeply. The use of Acell in all surgery and Dr. Cooley's magic post of spay are some of the key components of what we do that is different but the results speak volumes for the reasons behind the extra steps! At the end of the year you will see the full impact of your investment !
  7. This comment is not in any way true. We do both procedures. They both provide different qualities and options. FUE is not the newest, latest, greatest however. FUE is a refined old plug procedure. It is fantastic for guys who want that ultra short cut, or who need have small pockets of good donor available. Now done with small instruments vs the old ones of 5-6mm. FUT has also evolved and is not the old procedure that caused bad scarring from old techniques. Now done with good technique and attention to the closure and potential scar. FUE is not scarless and if done in areas that are not "safe: can leave tell tale signs of the harvesting. You can over harvest an area leaving a "moth eaten" look, But it heals quickly and there are not the same physical restrictions for post surgery. You do in most cases have to shave the donor area for larger sessions. FUT causes a long linear scar that can be made to almost be undetectable with a small session of FUE. This is an efficient way to harvest larger amounts of donor without he chance of that moth eaten look. Shaving is not required for FUT. Either will provide excellent results in a good surgeon and clinic are used. Remember that in most cases bad news travels faster than good. People post negatives vs positives faster. Its just human nature! Both are great procedures for the right patient!
  8. The half life of finasteride is about 6 hours regardless of the mg or dose you take. It peaks at about 72 hours and is gone in about 7 to 14 days totally. Dutasteride blocks a little differently and its half life is weeks but I have not seen a patient go from finasteride to dutasteride and have new side effects. The studies on sperm motility are small but they should be taken into consideration when deciding to take this medication. It is used outside of the US with success but all drugs have their own set of downfalls. Because of the half life vs peak you may not want or need to take it daily.
  9. You did see me but you just don't remember! I have been in surgery daily! The itchy feeling can be the dermatitis or it can be the nerves coming "alive". The crawly feeling is just that. The hair cut looks great in my opinion as well! The shedding will stop! It is so random that we don't really know why it occasionally happens. You may want to alternate shampoos. I like to tell everyone that these shampoos are really scalp treatments so put them on sparingly, leave on for 5 minutes lather then rinse then use whatever other shampoo you like. Keep us posted!
  10. The neck pillow is for comfort in the donor area, both with FUE and FUT/FUSS. The spray should always be used until gone. It can only help. It is not overkill, it is doing all that is possible....... it takes a full 7 days on average for the grafts to be well seated. I have seen many not ready for normal treatment at 6 days and a few at 8 or 9 days. Remember this is very individual, taking extra care can't hurt but always follow directions and keep the area clean and hydrated.
  11. Shedding like healing is very individual. There is not steadfast rule for this. Everyone will regrow a little differently as well. As for washing, gentle is what we recommend. We tell all patients and it is in our post op, do not use the fingernail, only the pad of the finger. You can massage to tolerance but don't gouge at your scalp. The waiting is about to begin and is the hard part. Next year time time you will understand the reason you took this leap of faith!
  12. If you followed all the instructions (and I think you have), then many patients have very minimal crusting. The spray helps tremendously and yes we know it is annoying to do it but makes the difference! The best is yet to come!
  13. There are way to many variables to spell them all out here. Each surgeon has their own techniques and each clinic does it according to the protocol they are given. Dr. Cooley is meticulous. He is involved. Our team is not only experienced but all trained here with him. Each step is taken very seriously. The excision in an FUT/FUSS and the closure takes several hours but the edges of the strip have little to no waste. The slivering is done under high magnification with one follicle wide slivers and excess trimmed away allowing the cutters to see the entire follicle and do less potential damage. This allows Dr. Cooley to make smaller and more shallow recipient incisions because the follicles are well trimmed without the extra tissue that is often left. Grafts placed with a lot of tissue at the top or where it exits the skin causes "tenting". This is what some refer to as that bump and this will crust more. It also can cause ridging. Dr. Cooley also uses ACell in all surgeries so the scar formation is inhibited. This is a brief overview of some of the fine differences that Dr. Cooley feels makes a difference in not only healing but a normal appearing scalp and the overall end result.
  14. Quote: #51 Top Report Post Old 07-18-2016, 05:32 PM ontop's Avatar ontop ontop is offline Senior Member Follicular Salvation Club Member Join Date: May 2014 Posts: 1,302 Last Online: 03-15-2017 07:39 PM Default Quote: Originally Posted by Bill - Managing Publisher View Post Eugene, That's far from new and it is a version of FUE, in fact there's not enough variation in the technique to call it something different. However many clinics do call variations of FUE a whole new technique which I don't understand, just because they use different tools or transplant the hair somewhat differently such as using an implanter pen. For example a particular doctor that we the longer discuss on this forum uses a technique called CIT which stands for his last name.isolation technique. This is a variation on the term follicular isolation technique or FIT which is another name for FUE. I'm not saying that the particular technique that you mention is not a good one, only that it is not different enough from FUE to call it a new name. I really think this is a bad marketing practice when clinics do this. So same should be noted for mFUT v FUT as in essence its the same but instead of doing a big cut mFUE is the same only smaller cuts but more of them. Bill is this not also bad marketing? Because I see this as the same as FUT but smaller scars but more of them spaced out over the donor. This is kind of a pet peeve of mine. FUE is not the newest latest greatest. FUE is the done the same way that old plugs were harvested. FUE is just refined and gives better results than old plugs did. As I stated above, both are good techniques. It is important for a patient to be educated about what a transplant can give them. Remember that often if a clinic only does one technique it is the only one they will discuss. All techniques in the right hands have evolved and become better and better. Just my opinion......
  15. Transplanted hair works well in a scar. Just make sure you go to an experienced surgeon.
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